| NPI | 1588294284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11581566-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 11581566-3102) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-05-31 |